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Online ISSN 1827-1707
95° CONGRESS OF THE PIEDMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (SPLLOT) (La Spezia, September 04-05, 1998)
Consoli C., Soldini A., Zanlungo M., Cigni S.
Fractures of the humeral shaft do represent one of the most common traumatologic pathologies. A great number of therapeutic options have been proposed during the last years, from surgical to conservative ones. Surgical options give the best results, providing for a good fracture stability and for an early recovery of daily activities in the affected upper limb. The great choice of surgical endomedullary nails that have been proposed in the international literature for the treatment of these fractures, lead us to consider the results of endomedullary osteosynthesis with Marchetti-Vicenzi nail in a series of patients treated in our Orthopedic-Traumatological Division, to evaluate the therapeutic usefulness and the surgical employment. Twenty-five patients (14 female; 11 male) with an humeral shaft fracture were treated with Marchetti-Vicenzi nail, during a period of 4 years: 22 cases were acute trauma of the humerus, 1 was a consolidation delay, 2 were secundary neoplastic osteolysis of the diaphysis of the humerus. All patients were periodiocally controlled clinically and radiologically and in all cases good results were obtained. The Marchetti-Vicenzi endomedullary nail is considered a good nail for osteosynthesis of humeral diaphysis fractures, even if there are some doubts concerning the removal of the nail: in fact, in one case it was not possible to remove the nail that was firmly fixed to the bone tissue.